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Managing Type 1 Diabetes among Saudi adults on insulin pump therapy during the COVID-19 lockdown.
Magliah, Sultan F; Zarif, Hawazen A; Althubaiti, Alaa; Sabban, Mahmoud F.
  • Magliah SF; Department of Family Medicine, Ministry of the National Guard-Health Affairs, King Abdulaziz Medical City, P.O. Box 9515, Jeddah, 21423, Saudi Arabia.
  • Zarif HA; Department of Medicine, Ministry of the National Guard-Health Affairs, King Abdulaziz Medical City, P.O. Box 9515, Jeddah, 21423, Saudi Arabia; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 9515, Jeddah, 21423, Saudi Arabia; King Abdullah International Medical
  • Althubaiti A; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 9515, Jeddah, 21423, Saudi Arabia; King Abdullah International Medical Research Center, P.O. Box 9515, Jeddah, 21423, Saudi Arabia. Electronic address: thubaitia@ksau-hs.edu.sa.
  • Sabban MF; Department of Family Medicine, Ministry of the National Guard-Health Affairs, King Abdulaziz Medical City, P.O. Box 9515, Jeddah, 21423, Saudi Arabia.
Diabetes Metab Syndr ; 15(1): 63-68, 2021.
Article in English | MEDLINE | ID: covidwho-957018
ABSTRACT
BACKGROUND AND

AIMS:

The coronavirus disease 2019 (COVID-19) pandemic has affected people's lives including patients with type 1 diabetes mellitus (T1DM). We aimed to investigate the impact of the COVID-19 lockdown on psychological status, self-management behaviors, and diabetes care maintenance among Saudi adults with T1DM using insulin pump therapy.

METHODS:

This cross-sectional study used a web survey to collect data on Saudi adults with T1DM who were treated in the specialized insulin pump clinic at King Abdulaziz Medical City-Jeddah, Saudi Arabia. We used the Patient Health Questionnaire-9 and General Anxiety Disorder-7 scales to measure depression and anxiety.

RESULTS:

Of the 70 patients who received the survey, 65 completed it. Overall, 23.1% and 29.2% of the patients reported moderate to severe and mild depression, respectively; 18.5% and 24.6% reported moderate to severe and mild anxiety, respectively. Compared with pre-lockdown, adherence to a healthy diet and regular physical activity decreased in 67.7% and 41.5% of the patients, respectively. Most patients maintained their adherence to insulin pump behaviors; frequent self-monitoring of blood glucose increased in 47% of glucometer users. Most patients benefited from phone visits or virtual education sessions, but 66.2% of the patients reported difficulty obtaining at least one type of insulin pump supply.

CONCLUSIONS:

Promoting self-management behaviors and psychological wellbeing of patients with T1DM using insulin pump therapy is crucial during a lockdown. Telemedicine is a useful alternative to in-person appointments, but strategies to ensure that patients have access to adequate resources during lockdown must be developed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Insulin Infusion Systems / Quarantine / Diabetes Mellitus, Type 1 / Self-Management / COVID-19 Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Diabetes Metab Syndr Year: 2021 Document Type: Article Affiliation country: J.dsx.2020.12.013

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Insulin Infusion Systems / Quarantine / Diabetes Mellitus, Type 1 / Self-Management / COVID-19 Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Diabetes Metab Syndr Year: 2021 Document Type: Article Affiliation country: J.dsx.2020.12.013